Most Relevant Information
Provider Data
| NPI Number: | 1003017260 |
| Provider Name: | JENNIFER LYNN HOLT ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 2005002981 |
Most Important Dates
| Enumeration Date: | 05/29/2007 |
| Last Updated: | 01/17/2008 |
Provider Practice Location
1515 UNION AVE
MOBERLY
MO
652709407
Practice Location Phone/Fax
| Phone: | 6602693189 |
| Fax: |
Provider Mailing Location
100 JAMAR ST
APT 5
MOBERLY
MO
652701906
Provider Mailing Phone/Fax
| Phone: | 5733568811 |
| Fax: |